Individual
DR. BRIAIN DONOUGH MACNEILL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MBBCH
Contact information
Practice address
55 FRUIT STREET, GRB 852B, BOSTON, MA 02114-2696
(617) 724-8052
(617) 724-0697
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
222961
MA
207RC0000X
Cardiovascular Disease Physician
222961
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2101661
—
MA
01
—
470230
TUFTS HEALTH PLAN
MA
01
—
J28684
BCBS MA
MA
Enumeration date
03/01/2006
Last updated
09/11/2025
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